在儿童卫生系统中评估和使用电子咨询程序的实用性
Dinesh S Pashankar1, Daniel Prior1, Anita Arora1
1Departments of Internal Medicine and Pediatrics, Yale School of Medicine (DS Pashankar, D Prior, A Arora, R Fekieta, K Marco, E Spatz, and M Sharifi), New Haven, Conn.
Academic pediatrics
|March 15, 2025
概括
电子咨询 (e-consults) 提供了及时的儿科专业咨询,减少了针对类似问题的患者访问. 这一大规模的计划显示了初级保健提供者和专家的高度满意度.
科学领域:
- 提供儿科医疗保健服务.
- 数字健康解决方案数字健康解决方案
- 获得专科护理的机会.
背景情况:
- 电子咨询 (e-consults) 是初级保健提供者 (PCP) 和专家之间的异步通信.
- 虽然成年人的研究表明,电子咨询可以改善专科的准入,但儿科数据有限.
- 这项研究评估了一项大型儿科电子咨询计划.
研究的目的:
- 评估一个大规模的儿科电子咨询计划的实用性和影响.
- 评估电子咨询对后续医疗保健利用的影响.
- 为了衡量PCP和专家对电子咨询平台的满意度.
主要方法:
- 审查了专业,适应症和完成时间的电子咨询数据库.
- 在电子咨询后2个月内评估医疗保健使用情况.
- 调查了PCP和专家的时间和满意度.
主要成果:
- 在55个月内,34名专家在13个专业中完成了2192次电子咨询.
- 平均响应时间为0.8天;85%的患者在2个月内避免了同样的问题后续访问.
- PCP (97%) 和专家 (85%) 报告的高满意度;大多数咨询时间都在20分钟以下.
结论:
- 儿科电子咨询计划及时提供专科建议,大大减少了随后的医疗保健利用率.
- 该计划在初级保健提供者和专家中表现出高度满意度.
- 这是迄今为止关于儿科电子咨询的最大研究,突出了其价值.
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